Organization Active NPI

Tulsa Eye Specialty, LLC

Doing business as Tulsa Eye Specialty

  • Optometrist
  • Tulsa, OK
National Provider Identifier
1194392134
Registry record updated Sep 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
TULSA EYE SPECIALTY, LLC
Doing business as
Tulsa Eye Specialty
Practice address
2121 S Columbia Ave Ste 300
Tulsa, OK 74114-3518
Phone
(918) 395-2020
Fax
(877) 464-4002
NPI assigned
Jun 8, 2021
Last updated
Sep 7, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rose Davydova
Title
Authorized Official
Phone
(918) 800-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

2121 S Columbia Ave Ste 300
Tulsa, OK 74114-3518

Mailing address

5312 W 41St St
Tulsa, OK 74107-6110
Phone (918) 800-2020

Other names 1

  • Tulsa Eye Specialty Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630972800000",
    "number": "1194392134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5312 W 41ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741076110",
            "telephone_number": "918-800-2020",
            "fax_number": "877-464-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 S COLUMBIA AVE STE 300",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741143518",
            "telephone_number": "918-395-2020",
            "fax_number": "877-464-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TULSA EYE SPECIALTY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-08",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A",
        "authorized_official_last_name": "DAVYDOVA",
        "authorized_official_first_name": "ROSE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "918-800-2020"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tulsa Eye Specialty",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tulsa Eye Specialty",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.